Organization Active NPI

Vizzoni Pharmacy L.L.C.

Doing business as Siegel's Pharmacy

  • Community/Retail Pharmacy
  • Trenton, NJ
National Provider Identifier
1144240540
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00422600 Issued in NJ
Legal business name
VIZZONI PHARMACY L.L.C.
Doing business as
Siegel's Pharmacy
Practice address
1201 S Broad St
Trenton, NJ 08610-6231
Phone
(609) 394-8111
Fax
(609) 394-5022
NPI assigned
Jul 20, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dominick J Vizzoni, PHARM DNPI 1336721257
Title
Owner
Phone
(609) 394-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00422600 NJ Primary

Addresses

Primary practice location

1201 S Broad St
Trenton, NJ 08610-6231

Mailing address

1201 S Broad St
Trenton, NJ 08610-6231
Phone (609) 394-8111

Other identifiers 1

IdentifierTypeStateIssuer
4402006MedicaidNJ

Other names 1

  • Siegel's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930011521 NJ DME Supplier - PharmacyDME Supplier - Medical Supply Company 7618181215 Practice locations: Trenton, NJ
O20210205001248 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7618181215 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Allentown, NJ; Trenton, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Vizzoni Pharmacy L.L.C.1201 S Broad St, Trenton, NJ 08610-6231(609) 394-8111 Blood Glucose Monitors/Supplies (Non-Mail Order)|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Sep 5, 2002

National Provider Directory

National Provider Directory
Tax ID family
Allentown Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1201 S Broad St
Trenton, NJ 08610
Phone (609) 394-8111

1616 S Broad St
Trenton, NJ 08610
Phone (609) 394-5784

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1144240540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086106231",
            "telephone_number": "609-394-8111",
            "fax_number": "609-394-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086106231",
            "telephone_number": "609-394-8111",
            "fax_number": "609-394-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIZZONI PHARMACY L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "VIZZONI",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-394-8111",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00422600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4402006",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Siegel's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.